Anyway, I found this post on www.hospitalsoup.com in the colonoscopy medications section.
I’m an internist and often request that patients undergo colonoscopy exams. I always thought that the sedation was to keep patients comfortable and that a qualified anesthesiologist would attend my patients. I’m shocked to find that many colonoscopy patients (most) undergo a brutal, painful and traumatizing exam without anesthesia, but inadequate “conscious sedation versed/fentanyl) administered not by an anesthesiologist. but by a nurse/crna who is not qualified to keep my patients comfortable. Colonoscopy patients often tell me that the nurse anesthetist doesn’t make the exam tolerable; they are thrashing about complaing of pain while a CRNA keeps telling then that “you are doing great”; administering an amnesia drug (Versed) in the hope that the unfortunate patient will forget how badly they were treated during the colonoscopy……. nurses (CRNA) are not qualified to administer any form of anesthesia..I will NOT recommend colonoscopy of any procedure requiring sedation unless an anesthesiologist (MD/DO) actually does the anesthesia 100% him/herself. I have too many patients who have had such a bad, dangerous experience with CRNA that they will NOT consider future lifesaving procedures,,,,
I promise the above is not me. However, it exactly parallels my thinking, so all you crna's who have called me various names, insulted my intelligence etc. can see that a doctor holds you in the same regard as I. That is; lower than dirt. I will never consider ANY procedure which involves sedation or an anesthesia nurse. I will make sure that the 'doctor' who wants to do my anesthesia is actually an MD doctor before proceeding. (As opposed to a nurse who has earned a doctorate in something other than medicine, like nursing or basket weaving, [HUMOR] you have to watch out for that one!) I may even have them sign a consent for ONLY an MD doctor's care prior to the procedure. I also want to avoid an assistant or other unskilled person performing my procedure. I'll put that right there with the "no sedation or Versed in any amount for any reason, before, during or after my procedure." Sorry to increase your workload MDAs but an anesthesia nurse is unacceptable to me for any part of my future procedures. Just like the internist above says.
My wonderful stepfather is also an internist, and he refuses Versed as well. He has noticed what a nurse friend of mine says, that is "every time one of my patients gets Versed, a little bit less of them comes back." Versed is tantamount to legalized torture, with the added fillip that we have to pay enormous amounts of money for this dubious "sedation" from an overpaid anesthesia nurse. Thanks Jessica for this post. We are RIGHT about this "medication" and crna's. (At least MOST anesthesia nurses. The good ones are the exception to the rule.)